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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
    April 04, 2008 - Enhancing patient safety through organizational learning: Are patient safety indicators a step in the
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Mokkarala_103.pdf
    June 16, 2008 - In order to be useful for data analysis and for learning from errors and to promote development of interventions
  3. www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/vascular-access-device-policy.pdf
    March 01, 2008 - nursing personnel who perform peripheral line insertions must complete the Peripheral IV insertion Self-Learning
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_2.pdf
    October 01, 2016 - comparative reporting from statewide data systems, and activities focused on continuous improvement (the learning
  5. www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-2.html
    July 01, 2019 - comparative reporting from statewide data systems, and activities focused on continuous improvement (the learning
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/white_paper.pdf
    January 01, 2020 - For example, in Learning to Integrate Neighborhoods and Clinical Care (LINCC), Group Health patients
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ballard_12.pdf
    February 02, 2008 - It has been intertwined with substantial organizational learning and development of the necessary infrastructure
  8. www.ahrq.gov/research/shuttered/acfselection/appendixd.html
    July 01, 2018 - form Command Problems Yes Yes No No No Command Problem Detail 1st time tested; learning
  9. www.ahrq.gov/sites/default/files/2024-02/gurwitz2-report.pdf
    January 01, 2024 - High Alert Medication Learning Guides. ConsumerMedSafety.org. 37. Health HTHCSoP.
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Davis.pdf
    February 12, 2004 - Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense 235 Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense Mary Ann Davis, Geoffrey W. Rake Abstract Objective: As a result of the Institute of Medicine (IOM) report, To…
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hurley_55.pdf
    March 07, 2008 - Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community Using Lean Six Sigma® Tools to Compare INR Measurements from Different Laboratories Within a Community Brion Hurley, CSSBB; James M. Levett, MD, FACS; Carla Huber, ARNP; Tim L. Taylor, SSBB Abstract Whene…
  12. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/guide.html
    December 01, 2017 - On-Time Pressure Ulcer Healing: Facilitator Training Instructor's Guide AHRQ’s Safety Program for Nursing Homes Overview of On-Time Note: This version of the On-Time introduction is for training Facilitators who have not had pressure ulcer prevention training. If they have had that training, this set of sl…
  13. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T5-Minimum_Criteria_for_3_Infections_Training_Slides-final.pptx
    October 01, 2016 - PowerPoint Presentation Toolkit 3. Minimum Criteria for Common Infections Toolkit [Name] [Organization] AHRQ Pub. No. 17-0006-5-EF October 2016 Tool 5. Nursing Staff Training on Importance and Use of SBAR Forms Nursing Home Antimicrobial Stewardship Guide Determine Whether To Treat Welcome, everyone, to today’s t…
  14. www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-apb.html
    September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol Appendix B. Decisionmaking and Readiness for Implementation Previous Page Next Page Table of Contents Universal ICU Decolonization: An Enhanced Protocol Introduction and Welcome Universal ICU Decolonization Protocol Overview Scientific Rationa…
  15. www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apb.html
    September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol Appendix B. Decisionmaking and Readiness for Implementation Previous Page Next Page Table of Contents Universal ICU Decolonization: An Enhanced Protocol Introduction and Welcome Universal ICU Decolonization Protocol Overview Scientific Rationa…
  16. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata6a.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement 6. Implementation (continued) Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers 1. Introduction 2. Evidenc…
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_7.pdf
    October 01, 2016 - New Models of Primary Care Workforce and Financing - Case Example #7: Cherokee Health Systems New Models of Primary Care Workforce and Financing Case Example Cherokee Health Systems 7 New Models of Primary Care Workforce and Financing Case Example #7: Cherokee Health Systems …
  18. www.ahrq.gov/sites/default/files/2025-02/mcneil-report.pdf
    January 01, 2025 - Final Progress Report: The National Quality Forum Fall Policy Conference 2008 The National Quality Forum Fall Policy Conference 2008 Principal Investigator: Dwight McNeil Team Members: S. Callahan, L. Gorban, D. McNeill, and B. Yelin 9/30/08-9/29/09 Federal Project Official: Karen Ho Supported by: Agen…
  19. www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/helpful-resources/analysis/preparing-data-for-analysis.pdf
    May 15, 2017 - Preparing Data from CAHPS Surveys for Analysis Preparing Data from CAHPS® Surveys for Analysis Contents Introduction ................................................................................................................................................... 1 Creating Your Analysis Dataset ...............…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Spehar.pdf
    April 18, 2004 - Seamless Care: Safe Patient Transitions from Hospital to Home 79 Seamless Care: Safe Patient Transitions from Hospital to Home Andrea M. Spehar, Robert R. Campbell, Carron Cherrie, Polly Palacios, Donna Scott, Jacquelyn L. Baker, Brad Bjornstad, Jay Wolfson Abstract Background: “Seamless care” is a smooth a…

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